SAMANTHA KIECKER (NPI# 1811265903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811265903 |
| Entity Type | Individual |
| Full Name | SAMANTHA KIECKER |
| Credential | DC |
| Practice Address |
1207 Prairie Pkwy West Fargo ND 58078 |
| Mailing Address |
1207 Prairie Pkwy West Fargo ND 58078-3145 |
| Practice Telephone | 7014920696 |
| Practice Fax Number | 7014920696 |
| Mailing Telephone | 7014920696 |
| Mailing Fax Number | 7014920696 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 894 | ND | Chiropractic Providers |
| Street Address |
1207 PRAIRIE PKWY |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255404711 | Ryan Thomas Jenkins | Chiropractor | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2006-11-15 |
| 1003085523 | John Gregory Dye | Optometrist | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2008-02-28 |
| 1023286614 | Clinic Fhsc PC | Clinic/Center | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2008-02-15 |
| 1275729741 | Danielle Helgeson Therapy | Speech-Language Pathologist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-09-19 |
| 1255522157 | Kristin Murch | Occupational Therapist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-08-06 |
| 1851595151 | Angela Villarreal | Speech-Language Pathologist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-06-12 |
| 1699977967 | Maureen Tomaszewski | Physical Therapist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-05-31 |
| 1457553703 | Stefanie R Kaiser | Speech-Language Pathologist | 1207 Prairie Pkwy, Suite A, West Fargo, ND 58078-3145 | 2007-05-31 |
| 1700943966 | Fm Wellness Connection, Ltd | Occupational Therapist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-01-03 |
| 1689731879 | Leaps and Bounds Speech Services, Inc. | Speech-Language Pathologist | 1207 Prairie Pkwy, Ste. A, West Fargo, ND 58078-3145 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639715303 | Parker Paul Mckittrick | Chiropractor | 1207 Prairie Pkwy Ste A, West Fargo, ND 58078-3145 | 2019-11-18 |
| 1881135911 | Benjamin Michael Robers | Chiropractor | 837 Main Ave E Ste C, West Fargo, ND 58078-2063 | 2017-03-08 |
| 1851626055 | Balance Chiropractic & Rehab | Chiropractor | 3140 Bluestem Dr Ste 103, West Fargo, ND 58078-8010 | 2009-10-06 |
| 1831378454 | Healingtouch Chiropractic, P.C. | Chiropractor | 45 21st Avenue East, Unit D, West Fargo, ND 58078-7811 | 2007-10-31 |
| 1881815769 | Todd Andrew Salwey | Chiropractor | 205 Sheyenne St Ste 3, West Fargo, ND 58078-1752 | 2007-05-01 |
| 1982752630 | Jorgenson Family Chiropractic, P.C. | Chiropractor | 1201 13th Ave E, West Fargo, ND 58078-3378 | 2007-01-08 |
| 1508931064 | Janyne Faye Aker | Chiropractor | 1150 Prairie Pkwy, Suite 102, West Fargo, ND 58078-3168 | 2006-11-21 |
| 1255404711 | Ryan Thomas Jenkins | Chiropractor | 1207 Prairie Pkwy, West Fargo, ND 58078-3145 | 2006-11-15 |
| 1174622104 | Tiffany Johnson | Chiropractor | 158 W Beaton Dr, Suite 200, West Fargo, ND 58078-2657 | 2006-09-22 |
| 1285642280 | Jonathon H Redington | Chiropractor | 205 Sheyenne St, West Fargo, ND 58078-1752 | 2006-08-04 |
| Find all providers in WEST FARGO | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
Please comment or provide details below to improve the information on SAMANTHA KIECKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.